The Quality of Life of Nursing Home Residents

描述(由申请人提供)：疗养院负责 不仅要提高居民的医疗和身体护理的质量，而且要 居民能够达到的生活质量。居民，他们的家人， 监管机构和供应商都非常关注设施提供的 为每个居民提供最好的隐私机会的环境， 尊严、自主性、社会交往等方面的高质量 生活。然而，人们普遍认为，护理的生活质量 住房居民往往达不到理想的水平。物质环境是一个主要因素 影响养老院居民生活的因素。尽管重要的是 环境在塑造养老院居民日常生活中的作用 对生活质量的控制还没有系统的研究 相关变量，如住院病例组合、人员配备水平和 也影响生活质量的行政政策。 拟议的职业发展奖将涉及培训活动。 旨在让应聘者对临床方面有更深入的了解 关爱养老院居民，深刻理解体力之道 环境的设计和使用，以及用于测量的知识和技能 与老年人住宿护理相关的费用。拟议的研究 项目将实现以下具体目标：1.确定 养老院环境特征与护理质量的关系 不同亚群居民的生活。2.估计潜力 通过改善环境来提高生活质量。3.预算 与环境改造相关的成本。 拟议的研究将提供有关对居民生活质量的影响的数据 从房间、单元和设施三个层面对养老院环境进行评估。通过 关注物理环境的不同特征如何促进或 抑制居民亚群体的高生活质量，这将是可能的 提出可用于指导质量改进的具体建议 努力。

DESCRIPTION (provided by applicant): Nursing homes are responsible for not only the quality of the medical and physical care of residents, but also for quality of life that residents are able to achieve. Residents, their families, regulators and providers are all vitally concerned that facilities provide environments that afford each resident the best opportunity for privacy, dignity, autonomy, social interaction and other aspects of a high quality of life. It is widely recognized, however, that the quality of life of nursing home residents often falls short of ideal. The physical environment is a major factor in the lives of nursing home residents. Despite the importance the environment in shaping the everyday lives of nursing home residents its effect on quality of life has not been studied systematically controlling for relevant variables such as resident case mix, staffing levels, and administrative policies that also influence quality of life. The proposed career development award will involve training activities designed to give the candidate a strong understanding of the clinical aspects of caring for nursing home residents, a deep understanding of the way physical environments are designed and used, and knowledge and skills for measuring costs associated with residential care for the elderly. The proposed research project will accomplish the following specific aims: 1. Determine the relationship between features of the nursing home environment and quality of life for different subgroups of residents. 2. Estimate the potential improvement in quality of life from modifying the environment. 3. Estimate the cost associated with environmental modifications. The proposed study will provide data on the impact on resident quality of life of the nursing home environment at the room, unit and facility level. By focusing on how different features of the physical environment promote or inhibit high quality of life for subgroups of residents, it will be possible to make concrete recommendations that can be used to guide quality improvement efforts.